Active NPI
Brighton Way Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1487795340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY37949
- Legal business name
- BRIGHTON WAY PHARMACY
- Practice address
- 6333 Wilshire Blvd
Los Angeles, CA 90048-5702 - Phone
- (323) 651-1595
- Fax
- (323) 951-1095
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Yepez
- Title
- Manager
- Phone
- (323) 651-1595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY37949 | CA | Primary |
Addresses
Primary practice location
6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Mailing address
6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Phone (323) 651-1595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0575805 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- WEST WILSHIRE PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1487795340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485702",
"telephone_number": "323-651-1595",
"fax_number": "323-951-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485702",
"telephone_number": "323-651-1595",
"fax_number": "323-951-1095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON WAY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "YEPEZ",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-651-1595"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY37949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0575805",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST WILSHIRE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.